Whalio Doctors

NPI 1063602266

Jessie L Allick, LCPC

Practitioner Mental Health Counselor Anaconda, MT

Practice location

Address
1601 Tammany St, Anaconda, MT 59711-1845
Phone
(406) 563-7365
Fax
(406) 494-1724
Mailing address
PO Box 1017, Anaconda, MT 59711-1017

Registered specialties

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1124 (MT)

Registry record

NPI
1063602266
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jul 2007
Record last updated
25 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.